Individual
DR. JILL SUZANNE DETTY OSWAKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNSC
Contact information
Practice address
9267 FOREST ISLAND DR, COLLIERVILLE, TN 38017-3576
(901) 756-7128
(901) 756-7128
Mailing address
9267 FOREST ISLAND DR, COLLIERVILLE, TN 38017-3576
(901) 756-7128
(901) 756-7128
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APN0000010943
TN
Other
Enumeration date
11/21/2006
Last updated
07/08/2007
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